Organization
SPEECH MATTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MCKENZIE GRACE HOLBROOK (SPEECH LANGUAGE PATHOLOGIST)
(859) 779-8802
Entity
Organization
Contact information
Practice address
554 BENTLEY LOOP, JENKINS, KY 41537-9005
(859) 779-8802
Mailing address
554 BENTLEY LOOP, JENKINS, KY 41537-9005
(859) 779-8802
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/25/2023
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